Evidence map›Paper›PMID 25754096›Full record

ArticleJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2015

Treatment and demographic factors affecting time to next pulmonary exacerbation in cystic fibrosis.

Donald R VanDevanter, David J Pasta, Michael W Konstan

Registry-linked trialAbstract read
In one paragraph

Article in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04016571 (Parameters to Assess Response to Intra-Venous Antibiotic Treatment for Pulmonary Exacerbations in Cystic Fibrosis), which is not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04016571 completednot on this mapstarted 2016, after this paper: background citation

Parameters to Assess Response to Intra-Venous Antibiotic Treatment for Pulmonary Exacerbations in Cystic Fibrosis

TypeobservationalSponsorBelfast Health and Social Care TrustRan2016 to 2019Enrolled31ConditionsCystic Fibrosis
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Autogenic drainage for airway clearance in cystic fibrosis.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Autogenic drainage for airway clearance in cystic fibrosis.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Trial
  5. Lumacaftor/Ivacaftor reduces pulmonary exacerbations in patients irrespective of initial changes in FEVJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2019
    Trial
  6. Diagnosis and Management of Cystic Fibrosis Exacerbations.Seminars in respiratory and critical care medicine · 2023
    Review
  7. Role of inhaled antibiotics in the era of highly effective CFTR modulators.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  8. Article
  9. A new path for CF clinical trials through the use of historical controls.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2022
    Article
  10. Article
  11. Article
  12. Acute Pulmonary Exacerbations in Cystic Fibrosis.Seminars in respiratory and critical care medicine · 2019
    Review
  13. Observational
  14. Observational
  15. Antibiotic duration and changes in FEVBMC pulmonary medicine · 2017
    Article
  16. Poor recovery from a pulmonary exacerbation does not lead to accelerated FEVJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2017
    Article
  17. Article
  18. Article
  19. Background and Epidemiology.Pediatric clinics of North America · 2016
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Donald R VanDevanterCase Western Reserve University School of Medicine, Cleveland, OH, USA. Electronic address: drv15@case.edu.
David J PastaICON Clinical Research, San Francisco, CA, USA.
Michael W KonstanCase Western Reserve University School of Medicine, Cleveland, OH, USA; Rainbow Babies and Children's Hospital, Cleveland, OH, USA.

Funding

Translational Research in Cystic FibrosisP30DK027651 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI DRUMM, MITCHELL L · 1986 to 2014
$15.6M
NIDDK NIH HHS P30 DK027651
6 · The paper itself

Abstract

backgroundPulmonary exacerbations (PEx) are important CF clinical events.

methodsWe studied time to next PEx following intravenous (IV) antibiotic PEx treatment among Cleveland Ohio CF center patients occurring between January 2010 and September 2014. Patient demographics, clinical presentations, and treatments were modeled by Cox proportional hazards regression to identify covariates associated with time to next PEx.

results193 patients were treated for PEx; 155 had a subsequent IV-treated PEx. Six covariates were associated with future PEx hazard: number of PEx in the prior year (hazard ratio 25.1 for ≥3 and 4.4 for 1-2 prior-year PEx versus none; P<.0001), IV treatment duration in weeks (1.2; P=.0004), percent hospital treatment (1.1; P=.0018), and chronic inhaled aminoglycosides (2.5; P<.0001), leukotriene modifiers (1.8; P=.0031), and high dose ibuprofen (0.52; P=.0006).

conclusionsTime to next PEx was profoundly associated with prior-year PEx, suggestive of high-risk PEx phenotypes that warrant recognition and further study.

Indexed as

AdolescentAdultAgedAnti-Bacterial AgentsChildChild, PreschoolCystic FibrosisDisease ProgressionHumansInfantLung DiseasesMiddle AgedRisk FactorsTime FactorsYoung AdultAnti-Bacterial AgentsCystic fibrosisPulmonary exacerbation phenotype

Identifiers

PMID25754096
PMCPMC4561033

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.